Organization
COUNTRY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEZLIE PUETZ DC (OWNER)
(320) 679-3734
Entity
Organization
Contact information
Practice address
4505 STATE HIGHWAY 23, BROOK PARK, MN 55007-2112
(320) 679-3734
(320) 679-5211
Mailing address
4505 STATE HIGHWAY 23, BROOK PARK, MN 55007-2112
(320) 679-3734
(320) 679-5211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4586
MN
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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